IndividualActive
Evan Henricks
NPI 1578094835 · Geriatric Medicine (Internal Medicine) Physician · Milwaukee, WI
Provider details
- NPI number
- 1578094835
- Entity type
- Individual
- Primary specialty
- Geriatric Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- 70409 (WI)
Practice location
9200 W Wisconsin Ave
Division of Geriatrics
Milwaukee, WI 53226-3522
Phone: (414) 805-6850
Fax: (414) 805-6864
Mailing address
9200 W Wisconsin Ave
Milwaukee, WI 53226-3522
Registry dates
- Enumerated
- 2017-03-27
- Last updated
- 2023-09-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.